【摘要】 目的　分析腹内疝的发病原因及诊断与治疗方案。方法　回顾性分析自 1977年 2月至 2 0 0 1年 12月手术治疗的腹内疝 3 1例 ,其中男 2 6例 ,女 5例 ;年龄 16～ 2 5岁 4例 ,2 6～ 40岁 6例 ,41～ 5 5岁 19例 ,5 6岁以上 2例。结果　先天性腹内疝与胚胎发育期中肠的旋转与固定不正常及肠转位时脏层与壁层腹膜愈接不全或肠系膜的部分退化或薄弱有关 ;后天性腹内疝与手术或外伤有关。结论　对有间歇性或发作性腹痛史 ,腹部触及腊肠状压痛性肿块 ,X线显示肠梗阻征 ,选择性动脉造影提示小肠动脉弓走行移位者 ,应考虑腹内疝的诊断并及时剖腹探查。在使肠曲复位和修补疝颈或裂孔时 ,不可损伤肠系膜上动脉等重要血管更多还原

【Abstract】 Objective To analyze the causes and the scheme of diagnosis and treatment of intra abdominal hernia. Methods Clinical data from 31 cases of intra abdominal hernia from 1977 to 2001 were analyzed retrospectively. Among the patients were 26 male and 5 female, and 4, 6, 19, and 2 patients were at the age range of 16 25, 26 40, 41 55, and over 56 years old, respectively. Results The causes of congenital intra abdominal hernia were related to malrotation of intestine and abnormality of intestine fixation during embryogenesis, to erroneous juncture of visceral layer peritoneum with parietal peritoneum, and to partial degeneration and weakness of mesentery. The causes of acquired intra abdominal hernia were related to operation or trauma. Conclusion As to patients with intermittence or episode of stomachache, touched painful sausage like mass, intestinal obstruction by X ray, and displacement of aortic arch of small intestines shown by selective arteriography, diagnosis of intra abdominal hernia and immediate operation should be considered. When reduction of the twisted intestines and repair of the hernial neck or hiatus are performed, important blood vessels such as the superior mesenteric arteries should not be injured.更多还原